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South Carolina rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.76 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.75 / $762.59 / $975.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.54 / $10,783.42 / $18,360.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.75 / $992.00 / $1,744.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $844.78 / $13,746.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.73 / $1,054.64 / $1,640.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $1,060.95 / $1,626.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,344.55 / $12,344.55 / $12,344.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $523.12 / $970.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.00 / $17,333.00 / $25,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.88 / $805.62 / $1,682.83